Organization
INTIMATES PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISSANN JONES (OWNER)
(770) 906-7759
Entity
Organization
Contact information
Practice address
5900 SUGARLOAF PKWY, SUITE 116, LAWRENCEVILLE, GA 30043-7857
(770) 906-7759
Mailing address
4865 MICHAEL JAY ST, SNELLVILLE, GA 30039-7644
(770) 906-7759
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/19/2013
Last updated
06/05/2013
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